Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE WYATT, MS, RDN, CSSD
Active Sole ProprietorBROOKE WYATT, MS, RDN, CSSD is a Sports Dietetics healthcare provider located in LAKE FOREST, California. NPI 1245943778 is currently active in the NPPES registry. Verify at CMS.
Sports Dietetics · LAKE FOREST, CA
Registration Details
- NPI Number
- 1245943778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2022 (3.6514730760742 yrs)
- Last Updated
- Dec 29, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
24642 VIA RAZALAKE FOREST, CA, 926302043Browse CA providers · Browse ZIP 92630
- Phone
- 9496835210
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.